Individual
MACKENZIE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 824-1000
Mailing address
13426 MOONLIT LAKE LN, PEARLAND, TX 77584-3733
(440) 241-2116
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP133484
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
COA.17272-NP
OH
Other
Enumeration date
04/21/2015
Last updated
10/13/2018
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